Provider Demographics
NPI:1346595766
Name:ARNOLD, TIFFANY (PHARMD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N 48TH ST
Mailing Address - Street 2:T-0217
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3505
Mailing Address - Country:US
Mailing Address - Phone:402-464-8066
Mailing Address - Fax:
Practice Address - Street 1:333 N 48TH ST
Practice Address - Street 2:T-0217
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3505
Practice Address - Country:US
Practice Address - Phone:402-464-8066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist